Quality of Working Life: An Antecedent to Employee Turnover Intention

Document Type : Original Article

Author

Health Management and Economics Research Centre, School of Health Management and Information Sciences, Tehran University of Medical Sciences, Tehran, Iran

Abstract

Background The purpose of this study was to measure the level of quality of work life (QWL) among hospital employees in Iran. Additionally, it aimed to identify the factors that are critical to employees’ QWL. It also aimed to test a theoretical model of the relationship between employees’ QWL and their intention to leave the organisation. Methods A survey study was conducted based on a sample of 608 hospital employees using a validated questionnaire. Face, content and construct validity were conducted on the survey instrument. Results Hospital employees reported low QWL. Employees were least satisfied with pay, benefits, job promotion, and management support. The most important predictor of QWL was management support, followed by job proud, job security and job stress. An inverse relationship was found between employees QWL and their turnover intention. Conclusion This study empirically examined the relationships between employees’ QWL and their turnover intention. Managers can take appropriate actions to improve employees’ QWL and subsequently reduce employees’ turnover.

Keywords

Main Subjects

References

1. Raduan CR, LooSee B, Jegak U, Khairuddin I. Quality of Work Life: Implications of Career Dimensions. Journal of Social Sciences 2006; 2: 61-7. doi: 10.3844/jssp.2006.61.67
2. Adhikari DR, Gautam DK. Labour legislations for improving quality of work life in Nepal. International Journal of Law and Management 2010; 52: 40-53. doi: http://dx.doi.org/10.1108/17542431011018534
3. Connell J. Call centres, quality of work life and HRM practices: An inhouse/outsourced comparison. Employee Relations 2009; 31: 363-81. doi: http://dx.doi.org/10.1108/01425450910965423
4. Gallie D. Employment regimes and the quality of work. Oxford: Oxford University Press; 2007.
5. Hsu MY, Kernohan G. Dimensions of hospital nurses’ quality of working life. J Adv Nurs 2006; 54: 120-31. doi: 10.1111/j.1365-2648.2006.03788.x
6. Lewis D, Brazil K, Krueger P, Lohfeld L, Tjam E. Extrinsic and intrinsic determinants of quality of work life. Leadership in Health Services 2001; 14: 9-15. doi: http://dx.doi.org/10.1108/13660750110391539
7. Lau RS. Quality of work life and performance. International Journal of Service Industry Management 2000; 11: 422-37. doi:  http://dx.doi.org/10.1108/09564230010360164
8. Dolan SL, García S, Cabezas C, Tzafrir SS. Predictors of quality of work and poor health among primary health-care personnel in Catalonia: Evidence based on cross-sectional, retrospective and longitudinal design. Int J Health Care Qual Assur 2008; 21: 203-18. doi: http://dx.doi.org/10.1108/09526860810859058
9. Tuuli P, Karisalmi S. Impact of working life quality on burnout. Exp Aging Res1999; 25: 441-9. doi: 10.1080/036107399243922
10. Donaldson SI, Sussman S, Dent CW, Severson HH, Stoddard JL. Health behavior, quality of work life, and organizational effectiveness in the lumber industry. Health Educ Behav 1999; 26: 579-91. doi: 10.1177/109019819902600413
11. Korunka C, Hoonakker P, Carayon P. Quality of Working Life and Turnover Intention in Information Technology Work. Human Factors and Ergonomics in Manufacturing 2008; 18: 409-23. doi: 10.1002/hfm.20099
12. Havlovic SJ. Quality of work life and human outcomes. Industrial Relations 1991; 30: 469-79. doi: 10.1111/j.1468-232X.1991.tb00799.x
13. Daud N. Investigating the Relationship between Quality of Work Life and Organizational Commitment amongst employees in Malaysian firms. International Journal of Business and Management 2010; 5: 75-82.
14. Hian CC, Einstein WO. Quality of work life: what can unions do? Advanced Management Journal1990; 55: 17-22.
15. May BE, Lau RSM, Johnson SK. A longitudinal study of quality of work life and business performance. South Dakota Business Review 1999; 58: 3-7.
16. Hofstede G. Culture’s consequences: International differences in work-related values. CA: Sage; 2003.
17. Aycan Z, Kanungo RN, Mendonca M, Yu K, Deller J, Stahl G, et al. Impact of Culture on Human Resource Management Practices: A 10-Country Comparison. Applied Psychology: An International Review 2001; 49: 192-221. doi: 10.1111/1464-0597.00010
18. Hadizadeh Moghadam A, Assar P. The Relationship between national culture and E-doption: A case study of Iran. American Journal of Applied Sciences 2008; 5: 369-77. doi: 10.3844/ajassp.2008.369.377
19. Nasiri Pour AA, Mehr-El Hasani MH, Gorji A. Relationship between organisational culture and Six sigma implementation in Kerman university hospitals. Health Manage Q 2008; 11: 33-40.
20. Kabasakal H, Dastmalchian A. Introduction to the special issue on leadership and culture in the Middle East. Applied Psychology: An International Review 2001; 50: 479-88. doi: 10.1111/1464-0597.00069
21. de Croon EM, Sluiter JK, Blonk RW, Broersen JP, Frings-Dresen MH. 2004. Stressful Work, Psychological Job Strain, and Turnover: A 2-Year Prospective Cohort Study of Truck Drivers. J Appl Psychol 2004; 89: 442–54.
22. Gray AM, Phillips VL, 1996. Labour turnover in the British National Health Service: a local labour market analysis. Health Policy 1996; 36: 273–89.
23. Shields MA, Ward M. Improving nurse retention in the National Health Service in England: the impact of job satisfaction on intentions to quit. J Health Econ 2001; 20: 677-701. doi: http://dx.doi.org/10.1016/S0167-6296(01)00092-3
24. Parasuraman S. Predicting turnover intentions and turnover behaviour: A multivariate analysis. J Vocat Behav 1982; 21: 111–21. doi: http://dx.doi.org/10.1016/0001-8791(82)90056-2
25. Che Rose R, Beh LS, Uli J, Idris K. Quality of Work Life: Implications Of Career Dimensions. Journal of Social Sciences 2006; 2: 61-7. doi: 10.3844/jssp.2006.61.67
26. Griffeth R, Hom P, Gaertner S. A meta-analysis of antecedents and correlates of employee turnover: Update, moderator tests, and research implications for the next millennium. Journal of Management 2000; 26: 463–88. doi: 10.1177/014920630002600305
27. Mosadeghrad AM, Ferlie E, Rosenberg D. A Study of relationship between Job satisfaction, Organizational commitment and turnover intention among hospital employees. Health Serv Manage Res 2008; 21: 211-27. doi: 10.1258/hsmr.2007.007015
28. Yin JT, Yang KA. Nursing turnover in Taiwan: a meta-analysis of related factors. Int J Nurs Stud 2002; 39: 573-81.
29. Sjoberg A, Sverke M. The interactive effect of job involvement and organizational commitment on job turnover revisited: A note on mediating role of turnover intention. Scand J Psychol 2000; 41: 247-52. doi: 10.1111/1467-9450.00194
30. Tai TWC, Bame SI, Robinson CD. Review of nursing turnover research, 1977–1996. Soc Sci Med 1998; 47: 1905–24.
31. Cole DC, Robson LS, Lemieux-Charles L, McGuire W, Sicotte C, Champagne F. Quality of working life indicators in Canadian health care organizations: A tool for healthy health care workplaces. Occup Med 2005; 55: 54–9. doi: 10.1093/occmed/kqi009
32. Gifford BD, Zammuto RF, Goodman EA. The relationship between hospital unit culture and nurses’ quality of work life. Journal of Health Care Management 2002; 47:13-26.
33. Gilgeous V. Manufacturing managers: their quality of working life. Integrated Manufacturing Systems 1998; 9:173-81. doi: http://dx.doi.org/10.1108/09576069810210466
34. Yousuf AS. Evaluating the quality of work life. Management and Labour Studies 1996; 21: 5-15.
35. Dargahi H, Sharifi Yazdi MK. Quality of Work Life in Tehran University of Medical Sciences hospitals’ Clinical Laboratories employees. Pak  J Med Sci 2007; 23: 630-3.
36. Baruch-Feldman C, Brondolo E, Ben-Dayan D, Schwartz J. 2002. Sources of social support and burnout, job satisfaction, and productivity. J Occup Health Psychol 2002; 7: 84–93.
37. Mosadeghrad AM, Yarmohammadian MH. A study of relationship between managers’ leadership style and employees’ job satisfaction. Int J Health Care Qual Assur Inc Leadersh Health Serv 2006; 19: xi-xxviii.
38. Mosadeghrad AM, Ferdosi M. Leadership, job satisfaction and organizational commitment in healthcare sector: Proposing and testing a model. Mat Soc Med 2013; 25: 121-6. doi: 10.5455/msm.2013.25.121-126
39. Boumans NPG, Landeweerd JA, Visser M. Differentiated practice, patient-oriented care and quality of work in a hospital in The Netherlands. Scand J Caring Sci 2004; 18: 37-48. doi: 10.1111/j.1471-6712.2004.00253.x
40. Davidson H, Folcarelli PH, Crawford S, Duprat LJ, Clifford JC. The effects of health care reforms on job satisfaction and voluntary turnover among hospital based nurses. Med Care 1997; 35: 634-45.
41. Donner GJ, Wheeler MM. Career planning and development for nurses: The time has come. Int Nurs Rev 2001; 48: 79-85. doi: 10.1046/j.1466-7657.2001.00028.x
42. Kennington G. A case for a formalized career development policy in orthopaedic nursing. Journal of Orthopaedic Nursing 1999; 3: 33–8.
43. Espnes GA, Byrne DG. Occupational stress and cardiovascular disease. Stress Health 2008; 24: 231-8. doi: 10.1002/smi.1203
44. Kang MG, Koh SB, Cha BS, Park JK, Baik SK, Chang SJ. Job stress and cardiovascular risk factors in male workers. Prev Med 2005; 40: 583-8. doi: http://dx.doi.org/10.1016/j.ypmed.2004.07.018
45. Cho JJ, Kim JY, Chang SJ, Fiedler N, Koh SB, Crabtree BF, et al. Occupational stress and depression in Korean employees. Int Arch Occup Environ Health 2008; 82: 47–57. doi: 10.1007/s00420-008-0306-4
46. O’connor DB, O’connor RC, White BL, Bundred PE. The effect of job strain on British general practitioners’ mental health. J Ment Health 2000; 9:637-54.
47. Reynolds S. Psychological well-being at work: Is prevention better than cure? J Psychosom Res 1997; 43: 93-102. doi: http://dx.doi.org/10.1016/S0022-3999(97)00023-8
48. Leveck ML, Jones CB. The nursing practice environment, staff retention, and quality of care. Res Nurs Health 1996; 19: 331-43.
49. Ahsan N, Abdullah Z, Yong Gun Fie D, Alam SA. A Study of Job Stress on Job Satisfaction among University Staff in Malaysia: Empirical Study. European Journal of Social Sciences 2009; 8: 121-31.
50. Flanagan NA, Flanagan TJ. An analysis of the relationship between job satisfaction and job stress in correctional nurses. Res Nurs Health 2002; 25: 282-94. doi: 10.1002/nur.10042
51. Khatibi A, Asadi H, Hamidi M. The Relationship Between Job Stress and Organizational Commitment in National Olympic and Paralympic Academy. World Journal of Sport Sciences 2009; 2: 272-8.
52. Lambert E, Paoline EA. The Influence of Individual, Job and Organizational Characteristics on Correctional Staff Job Stress, Job Satisfaction and Organizational Commitment. Criminal Justice Review 2008; 33: 541-64. doi: 10.1177/0734016808320694
53. Cartledge S. Factors influencing the turnover of intensive care nurses. Intensive Crit Care Nurs 2001; 17: 348-55. doi: 10.1054/iccn.2001.1599
54. Chou-Kang C, Chi-Sheng C, Chieh-Peng L, Ching Yun H. Understanding hospital employee job stress and turnover intentions in a practical setting: The moderating role of locus of control. The Journal of Management Development 2005; 24: 837-55. doi: http://dx.doi.org/10.1108/02621710510627019
55. Kuokkanen L, Leino-Kilpi H, Katajitso J. Nurse Empowerment, Jobrelated Satisfaction, and Organizational Commitment. J Nurs Care Qual 2003; 18:184-92.
56. Mosadeghrad AM, Moraes A. Factors affecting employees’ job satisfaction in public hospitals: Implications for recruitment and retention. Journal of General Management 2009; 34: 51-66.
57. House R, Hanges P, Javidan M, Dorfman P, Gupta V. Culture, Leadership, and Organizations: The Globe Study of 62 Societies. Thousand Oaks, CA: Sage; 2004. doi: 10.1026/0932-4089.50.3.167
58. Noravesh I, Dianati Dilami Z, Bazaz MS. The impact of culture on accounting: Does Gray’s model apply to Iran?”. Review of Accounting and Finance 2007; 6: 254-72. doi: http://dx.doi.org/10.1108/14757700710778009
59. Wyatt TA. Quality of Working Life: Cross-Cultural Considerations. Asia Pacific Journal of Management 1988; 6: 129-40. doi: 10.1007/BF01732254
60. Rahimnia F, Polychronakis Y, Sharp JM. A conceptual framework of impeders to strategy implementation from an exploratory case study in an Iranian university. Education, Business and Society: Contemporary Middle Eastern Issues 2009; 2: 246-61. doi: http://dx.doi.org/10.1108/17537980911001080

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History

  • Receive Date: 17 March 2013
  • Revise Date: 04 May 2013
  • Accept Date: 23 April 2013
  • First Publish Date: 04 May 2013

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